摘要
目的探讨分娩后腹壁及会阴切口子宫内膜异位症的诊断和治疗。方法对本院2000-2006年间，收治的20例腹壁及会阴切口子宫内膜异位症病例的症状、体征及治疗方法，进行回顾性分析。结果20例患者中，腹壁子宫内膜异位症患者13例，均有剖宫产手术史，会阴侧切口子宫内膜异位症7例。所有病例均有典型周期性局部疼痛、肿块，术前能够做出正确诊断，与术后病理结果吻合。手术切除均取得良好效果，无复发。结论局限性子宫内膜细胞移植，是腹壁及会阴切口子宫内膜异位症最有可能的病理生理机制。典型症状为与月经周期相关的周期性疼痛伴肿块，根据典型的症状、体征可正确诊断。彻底手术是惟一确实有效的治疗方法。该病应引起临床高度重视，尽量减少或避免此病的发生。
Objective To discuss the diagnosis and treatment on endometriosis at abdominal wall and perineum incision after delivery. Methods The clinical materials of 20 cases such patient from 2000 to 2006 were analyzed in symptom, signs, treatment retrospectively. Results There were 13 eases of endometriosis in 20 who had history of U - D and 7 eases of endometriosis with side perineum incision. The typical periodic local pain and mass could be seen and obtained diagnosis before operation. The results were fit for pathology without relapsed. Conclusion The local endometria implantation might be mechanism of endometriosis at incision after operation. The typical symptom was local periodic pain and mass that related with menses. The operation might be important method to remove the lesion completely. It should pay much attention.
出处
《黑龙江医学》
2008年第12期933-933,952,共2页
Heilongjiang Medical Journal
